| NPI | 1114410479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OK 37895) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09579) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-06-23 |