| NPI | 1679839047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD23165) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 296806) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2020-10-22 |