NPI | 1316209141 |
---|---|
Former Name | JENNA KOLIANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 63719) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 18675) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2019-08-01 |