| NPI | 1720515208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WI 82179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301111773) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-07-07 |