| NPI | 1770758609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 269795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241327) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-02-03 |