| NPI | 1245763010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 76758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 76758) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2025-10-22 |