| NPI | 1619134392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 051696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 051696) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2017-08-09 |