| NPI | 1932167400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OR MD201931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226232) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD 60229173) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NY 60 256098) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-06-07 |