| NPI | 1265981864 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA10666600) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10666600) | 
| Enumeration Date | 2016-09-25 | 
| Last Update Date | 2024-04-26 |