| NPI | 1174056709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 042-0016937) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 346571) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2026-08-11 |