| NPI | 1649423708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 67606) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0011161) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2023-01-17 |