| NPI | 1023142676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| 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 |