| NPI | 1700226693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD H97646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116026333) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U1673) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 87856) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB09957200) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-05-10 |