| NPI | 1780263442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OH 35.153178) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022021477) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-06-04 |