| NPI | 1104453760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 68706) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 68706) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2026-06-08 |