| NPI | 1972907426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IA MD-45383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 09719) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2018-07-09 |