| NPI | 1053804906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102207569) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102207569) |
| 208D00000X General Practice (Licence: VA 0102207569) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-07-18 |