| NPI | 1124777511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA SP025507) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP025507) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2023-03-21 |