| NPI | 1639439748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 38452) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 262589) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2015-08-11 |