| NPI | 1518690908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL PA9115955) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9115955) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-07-03 |