| NPI | 1245862168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 001008981) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2021-09-17 |