| NPI | 1831281674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 20965) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 43384) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-12-23 |