| NPI | 1770513426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 45579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 14019) |
| 207R00000X Internal Medicine (Licence: IL 036-116147) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2026-03-12 |