| NPI | 1689052235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A163006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16236) |
| 207R00000X Internal Medicine (Licence: CA A163006) | |
| 207R00000X Internal Medicine (Licence: RI Lp03358) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2024-04-29 |