| NPI | 1780117416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 85580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 009641) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 72379) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-07-23 |