| NPI | 1871955385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TN 73647) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TX R4388) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-07-15 |