| NPI | 1740771401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.72841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115409) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-06-11 |