| NPI | 1972922698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: MO 2017013107) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: SC 93592) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-04-15 |