| NPI | 1952590408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101259086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 29685) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 29685) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2020-02-10 |