| NPI | 1891312989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MT220886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD490277) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD490277) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-08-06 |