| NPI | 1891170890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S7645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A77614) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX S7645) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-10-26 |