NPI | 1700059185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA087440) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 239181) |
174400000X Specialist (Licence: NY 278047) | |
Enumeration Date | 2008-04-08 |
Last Update Date | 2015-06-02 |