| NPI | 1588699755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ MA0809100) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08091000) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-05-23 |