| NPI | 1922410794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 311039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311039) |
| 207R00000X Internal Medicine (Licence: RI LP03121) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 20571) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2021-06-17 |