| NPI | 1255573671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 259854) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 042.0013505) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2024-06-03 |