| NPI | 1619533783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101026850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151013447) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2022-05-28 |