| NPI | 1952533101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT196039) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PA MD446055) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA09931000) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2020-05-26 |