| NPI | 1740690957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 72956) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 62053) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-01-23 |