| NPI | 1780996751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A142681) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 270720) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2021-11-29 |