| NPI | 1790978864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D83677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md432569) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-07-21 |