| NPI | 1669884532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 51473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD462385) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD462385) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2021-08-31 |