| NPI | 1831502004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD217267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259561) |
| 207R00000X Internal Medicine (Licence: OR MD217267) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 275180) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-10-13 |