| NPI | 1396840401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 8199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47238) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-03-25 |