NPI | 1417975749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA06216600) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD047975L) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2015-03-25 |