| NPI | 1144662123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX V8961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-45794) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IA MD-45794) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2025-08-13 |