| NPI | 1669059879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OT024691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 333669) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-06-17 |