| NPI | 1912461997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KS 53-79480-041) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: KS 14-125268-041) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2024-03-11 |