| NPI | 1902115363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 259448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259448-1) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2021-12-20 |