NPI | 1649484791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA09670400) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 244931) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2015-08-19 |