| NPI | 1417166422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME106694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38488) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA R-7743) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 38488) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-01-31 |