| NPI | 1336835008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA OT022495) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT022495) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2026-06-04 |