| NPI | 1548798077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 84022) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 73598) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2024-08-22 |