| NPI | 1134104615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 243111) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 243111) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-05-29 |