| NPI | 1396825618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101242128) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 95426) |
| 207R00000X Internal Medicine (Licence: VA 0101242128) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WY TL6038) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2026-04-29 |