| NPI | 1265883615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 291745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151009410) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-09-26 |