| NPI | 1700147915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 65445) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 271746) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-11-03 |