| NPI | 1104059393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD454176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD454176) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2019-09-17 |