| NPI | 1790853661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: DC MD25678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 15457) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-11-18 |