| NPI | 1740218031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301502379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 54085) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-08-24 |