| NPI | 1902302847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: UT 13786241-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 72040-20) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-12-08 |