| NPI | 1568814333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME157713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068397) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.140813) | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2022-07-21 |