NPI | 1659574770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08340600) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 238848) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2009-01-02 |