| NPI | 1306590344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL PA9118882) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2025-07-03 |