| NPI | 1922269281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 206954) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 33915) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-06-01 |