NPI | 1609396498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 305542) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 305542) |
207R00000X Internal Medicine (Licence: NY 305542) | |
Enumeration Date | 2017-06-22 |
Last Update Date | 2024-11-04 |