| NPI | 1972990562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A161194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10316800) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA10316800) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-06-25 |