| NPI | 1104318831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-02456) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 2021-02456) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2021-02456) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-01-07 |