| NPI | 1124523014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61690178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65954) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 65954) | |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2025-08-21 |