| NPI | 1619966850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA05795600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA05795600) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-07-13 |