| NPI | 1770933632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 34793) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 67886) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 60464) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-02-15 |