| NPI | 1821452319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MO 2022027458) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: KS 04-46250) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-08-01 |