| NPI | 1073967204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A155220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A155220) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-02-07 |