| NPI | 1124479837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0066049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN21927) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2021-09-02 |