| NPI | 1164955654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2023-01782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-01782) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-12-18 |