| NPI | 1730118373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD419093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419093) |
| 208000000X Pediatrics (Licence: NJ 25MA07452500) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA07452500) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-03-24 |