| NPI | 1295932168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21204) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2014015595) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 074924) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-03-25 |