| NPI | 1114489705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 010151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A19746) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-06-11 |