| NPI | 1700048154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 279678-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201101316) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ME FK2770902) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-05-24 |