| NPI | 1699419713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5151015441) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5151015441) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-06-23 |