NPI | 1023142676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ MA08176100) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DE C7-0002883) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2021-04-26 |