| NPI | 1932165222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 87135) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 160337) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-06-08 |