| NPI | 1295267540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4301509069) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.030200) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-08-21 |