NPI | 1619214285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD460608) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09289100) |
Enumeration Date | 2013-01-15 |
Last Update Date | 2025-09-16 |