| NPI | 1124261656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD485690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01106) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 76129) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-06-26 |