NPI | 1588829089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08358000) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 266869) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2023-07-07 |