| NPI | 1164927588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WV 34924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 34924) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-08-11 |