| NPI | 1356528566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A106477) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 241597) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-01-27 |