| NPI | 1770731671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD157868) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1093) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2025-11-21 |