| NPI | 1972544054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 003487-1) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA06234800) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-07-06 |