| NPI | 1861881658 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 145767) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 145767) | 
| Enumeration Date | 2015-01-15 | 
| Last Update Date | 2022-11-08 |