| NPI | 1164576633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301116305) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 59209) |
| 207R00000X Internal Medicine (Licence: MI 4301116305) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101267118) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2026-07-22 |