| NPI | 1679769616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101253504) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01064680) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 42900) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2016-06-15 |