| NPI | 1336405554 |
|---|---|
| Former Name | JENNIFER M. BORDATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 5101019846) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2020-10-22 |