| NPI | 1629396445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 266023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266023-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 70574) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2022-06-07 |