| NPI | 1558591164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 250153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 250153) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2014-06-20 |