| NPI | 1225296403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 259164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232074) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10775400) | |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2023-04-04 |