| NPI | 1437447505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD459843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10040413) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: PA FO6622903) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-10-18 |