| NPI | 1720492267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 176034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105963) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2022-06-16 |