| NPI | 1356031769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL PA117372) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9117372) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-07-03 |