| NPI | 1285096032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 69010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 18189) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2023-1313) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-07-17 |