NPI | 1679732242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA10922200) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 247572) |
207R00000X Internal Medicine (Licence: NY 247572) | |
Enumeration Date | 2008-06-08 |
Last Update Date | 2021-07-23 |