| NPI | 1689961260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 261945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 261945) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-10-15 |