| NPI | 1770879868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 28063) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6581) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2019-04-04 |