| NPI | 1023420718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2023-00865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83321) |
| 207R00000X Internal Medicine (Licence: PA MD462198) | |
| 207R00000X Internal Medicine (Licence: PA MT207173) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-06-20 |