| NPI | 1821313784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX Q8191) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD 448777) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2016-10-31 |