| NPI | 1740415470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A156159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A156159) |
| 133N00000X Nutritionist (Licence: CA A156159) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2026-04-29 |