| NPI | 1497316228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 67761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67761) |
| 207R00000X Internal Medicine (Licence: MN 30259) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-06-30 |