| NPI | 1891101424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A124634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124634) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |