| NPI | 1144660598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 87757-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019023012) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2026-07-28 |