| NPI | 1831484005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 59794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011014980) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NE 30087) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-05-01 |