NPI | 1598865297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 166434) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME80312) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2016-08-05 |