| NPI | 1053933150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 081602) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021025563) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2025-07-10 |