| NPI | 1518379577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 305766) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206723) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MT206723) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-02-09 |