| NPI | 1831126887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 02704) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 1280) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-10-28 |