| NPI | 1649774886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KY 60717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 60717) |
| 208000000X Pediatrics (Licence: VA 0101271928) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-09-11 |