| NPI | 1891778643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 32351) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 160848) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 37759) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2020-09-08 |