| NPI | 1053993659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 14206550-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78622) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-03-11 |