| NPI | 1144667189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME140947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19030) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX BP10055328) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2019-09-20 |