| NPI | 1457347981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME 97621) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 1535111) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |