| NPI | 1235560145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME157234) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 26142) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-12-04 |