| NPI | 1831406412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 56630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72033) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 144839) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2024-09-11 |