| NPI | 1659536480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 48787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70554) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2017-01-05 |