| NPI | 1316237936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 52882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1326550001.) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2021-06-16 |