| NPI | 1619437175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME162586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 162586) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-06-26 |