| NPI | 1811605611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 34946) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 34946) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |