| NPI | 1134387822 |
|---|---|
| Former Name | GINA SAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 240112) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 101198) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2024-05-24 |