| NPI | 1912342742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 84185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203869) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2021-05-26 |