| NPI | 1386165116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME165895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 33095) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2024-06-27 |