| NPI | 1679830871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0061550) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NC 2015-00702) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-06-13 |