| NPI | 1275053332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA12175500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 303357) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-08-08 |