| NPI | 1982615100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 202393) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 202393) |
| 207K00000X Allergy & Immunology (Licence: OH 69401) | |
| 207K00000X Allergy & Immunology (Licence: MA 150928) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 69401) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 150928) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-12-11 |