| NPI | 1073975165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 04416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4156) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-06-08 |