| NPI | 1447522719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A125749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A125749) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2019-09-10 |