| NPI | 1942604798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL PA9108307) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9108307) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2020-04-06 |