| NPI | 1669901757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 287249) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 25721) |
| 208000000X Pediatrics (Licence: RI LP04032) | |
| 207R00000X Internal Medicine (Licence: MA 287249) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-07-25 |