| NPI | 1255712402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 290749) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 290749) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2021-12-20 |