| NPI | 1083174593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA 92480) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 92480) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-06-09 |