| NPI | 1790147874 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AL MD.48324) | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME139345) | 
| Enumeration Date | 2016-03-28 | 
| Last Update Date | 2024-04-17 |