| NPI | 1811163918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD444132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 135595) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-07-31 |