| NPI | 1740460070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A96944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A96944) |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2021-05-11 |