| NPI | 1033435474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MN 70885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118899) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: CA A118899) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MS 24687) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2022-05-19 |