| 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 |