| NPI | 1902885924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C54946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47457) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 38593) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 47457) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2023-03-14 |