| NPI | 1215290846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 285744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285744) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-10-05 |