| NPI | 1386740405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C129986) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 25965) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2026-03-09 |