| NPI | 1346426038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 061334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 57602) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 57602) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2020-09-02 |