| NPI | 1285995720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS015054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015054) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2021-07-30 |