| NPI | 1780843714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036128497) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 248357) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-10-14 |