| NPI | 1518318260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OK 34512) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 33707) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-05-08 |