| NPI | 1952664989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD462150) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125061984) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-08-29 |