| NPI | 1942598396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C167311) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 271861) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-09-15 |