| NPI | 1659759397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MA 275092) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03319) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2021-02-19 |