| NPI | 1588007504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 309965) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 309965) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-07-17 |