| NPI | 1740246743 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K1363)  | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX K1363)  | 
| Enumeration Date | 2006-04-26 | 
| Last Update Date | 2013-04-05 |