| NPI | 1912486408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61479350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61479350) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-09-26 |