| NPI | 1104099852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301079935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301079935) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 237313) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2019-06-24 |