| NPI | 1356760490 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.153810) | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101276475) | 
| Enumeration Date | 2014-04-15 | 
| Last Update Date | 2025-06-18 |