| NPI | 1124453626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS12965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS12965) |
| 207R00000X Internal Medicine (Licence: FL UO3569) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ML0512965) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2025-04-01 |