| NPI | 1417332131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS15441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4447) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2021-04-08 |