| NPI | 1194188334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 64161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 64161) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-07-26 |