| NPI | 1972065779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A206952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 290898) |
| 208000000X Pediatrics (Licence: CA A206952) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-04-02 |