| NPI | 1184903783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME149217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200537) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD456482) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2022-08-04 |