| NPI | 1700234788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 300991) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MDO.39240 LL) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 300991) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-07-03 |