| NPI | 1932676376 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 75739)  | 
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AZ 75739)  | 
| Enumeration Date | 2018-10-24 | 
| Last Update Date | 2025-09-30 |