| NPI | 1861839995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 298787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02856) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-09-23 |