| NPI | 1649569245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A123822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A123822) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2024-04-10 |