| NPI | 1902199565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A157260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199339) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2019-01-08 |