NPI | 1073933651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11112500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-141177) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2021-06-10 |