| NPI | 1043528250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 273000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 318374) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2023-06-05 |