| NPI | 1255954392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DE C7-0018383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT020122) |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2023-08-25 |