| NPI | 1528486479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A139747) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A139747) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2023-07-17 |