| NPI | 1891114393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 290153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290153) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2025-07-02 |