| NPI | 1366824807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 20A18862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022025) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101022025) | |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2021-06-10 |