| NPI | 1598023509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA 130059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 130059) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2020-12-23 |