| NPI | 1053521450 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D70543)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238350)  | 
| 207R00000X Internal Medicine (Licence: MD D70543)  | |
| Enumeration Date | 2007-05-23 | 
| Last Update Date | 2013-02-19 |