| NPI | 1851651145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 293412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201701) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT201701) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2018-07-30 |