| NPI | 1871800466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD 454692) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN13578) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2016-03-30 |