| NPI | 1194161323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01257) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2019-01257) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2024-07-15 |