| NPI | 1346516374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD61036720) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD465307) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2024-08-30 |