| NPI | 1477073906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 343003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 343003) |
| 207R00000X Internal Medicine (Licence: IL 125.069852) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-09-05 |