| NPI | 1306232863 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 67013)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 5876-851)  | 
| Enumeration Date | 2015-04-11 | 
| Last Update Date | 2021-06-09 |