| NPI | 1659804649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A200817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64061) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 1015590) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-03-07 |