| NPI | 1396007068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A137822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73466) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 56483) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-02-27 |