| NPI | 1518487628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61052834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61052834) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-10-05 |