| NPI | 1235367640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A120514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD p24003) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2021-11-04 |