| NPI | 1639214489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 191382) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 191382) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-07-13 |