| NPI | 1538401914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: OH 35.136575) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.136575) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2022-11-23 |