| NPI | 1790104925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD480219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00529) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-06-08 |