| NPI | 1407015316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA10615300) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 10223100) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-11-07 |