| NPI | 1427217439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME145385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD158949) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD158949) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-10-04 |