| NPI | 1700464070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 39090) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 83640-20) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-04-07 |