| NPI | 1790767846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2020028283) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020028283) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-04-17 |