| NPI | 1124671649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT218754) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 112681) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2026-06-25 |