| NPI | 1811301070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 042-0014909) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 334018) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2025-05-01 |