| NPI | 1902890809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME72022) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 205635-1) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-09-23 |