| NPI | 1831682871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301506571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 52651) |
| 208000000X Pediatrics (Licence: SC 52651) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-07-22 |