| NPI | 1215995451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME120250) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08985400) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD426924) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-05-11 |