| NPI | 1053725366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A170413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74570) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 293827) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2022-02-25 |