| NPI | 1851552350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2010010715) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010010715) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 05-37552) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-01-27 |