| NPI | 1669608170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A119659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240677) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2022-09-01 |