| NPI | 1376508119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 002092-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002092-1) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-09-18 |