| NPI | 1639552409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 312351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 312351) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-02-13 |