NPI | 1215460019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA12668800) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD480210) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2025-07-01 |