| NPI | 1952523268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 263182) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 239755) |
| 207R00000X Internal Medicine (Licence: MO 2008030948) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-12-12 |