| NPI | 1659997708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD493612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220130) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0116038049) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-06-29 |