| NPI | 1629144084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 234935) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA08405800) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-07-23 |