| NPI | 1053832311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 05392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151012233) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5151012233) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2025-07-28 |