| NPI | 1912164419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 246917) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 246917) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2016-01-06 |