| NPI | 1033178355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA08064000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 218892) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-06-17 |