| NPI | 1871736504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TX Q3256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY C2119) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2023-11-28 |