| NPI | 1861920860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX U3668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL40975) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-08-04 |