| NPI | 1720469950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MA11237700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ S31427047559882) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2025-03-06 |