| NPI | 1699025957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 0010-04594) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 0010-04594) |
| 363A00000X Physician Assistant (Licence: NC 0010-04594) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2023-12-18 |