| NPI | 1063080950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: NE 9993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 23652) |
| 208D00000X General Practice (Licence: PR 23652) | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-06-25 |