| NPI | 1316333859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 66899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 66899-20) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2023-06-12 |