| NPI | 1396163341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD473256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 288545) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2021-04-20 |