| NPI | 1760905699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA PA6184) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA6184) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2025-01-24 |