| NPI | 1770730509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 271589-01) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: NY 271589-01) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2022-01-07 |