| NPI | 1316469356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: UT 13357414-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10795) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-01-30 |