| NPI | 1801298294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM DO2023-1014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13825) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 7793) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2024-09-10 |