| NPI | 1023317260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2021-02017) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 282536) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2023-08-10 |