| NPI | 1992108468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 278652-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01071208A) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2015-06-14 |