| NPI | 1801246699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX U4891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210357) |
| 208000000X Pediatrics (Licence: TX U4891) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-07-17 |