| NPI | 1225523228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA 351717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116031234) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2026-08-26 |