| NPI | 1568649358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 61094-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002655) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2022-07-12 |