| NPI | 1720241318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 2852) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 04481) |
| 207R00000X Internal Medicine (Licence: TX P5179) | |
| 207R00000X Internal Medicine (Licence: OH 34-009841) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-04-26 |