NPI | 1225485188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA12022600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211055) |
207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD477114) | |
Enumeration Date | 2016-05-20 |
Last Update Date | 2024-07-01 |