| NPI | 1972958122 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A161852)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A161852)  | 
| Enumeration Date | 2016-04-25 | 
| Last Update Date | 2024-04-10 |