NPI | 1598979437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 249101) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 2481951) |
207R00000X Internal Medicine (Licence: CT Application pending) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2022-02-18 |