| NPI | 1790042604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101275335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101275335) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036137896) | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2022-11-01 |