| NPI | 1578839072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD477998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D87385) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MD D87385) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-05-23 |