| NPI | 1477711794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09295500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248128) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2017-09-13 |