| NPI | 1114034535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A82195) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 237674) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-11-04 |