| NPI | 1740365634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ MA45981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA04598100) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-11-13 |