| NPI | 1396126637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 264179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264179) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-07-13 |