| NPI | 1639610546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 22863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22863) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2025-07-29 |