| NPI | 1275790040 |
|---|---|
| Former Name | EMILY JANE ROTHBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A108998) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245251-1) |
| 208000000X Pediatrics (Licence: CA A108998) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2011-02-03 |