NPI | 1497958441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA10146500) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D71020) |
2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 289564) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2022-10-11 |