| NPI | 1972766574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301092339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092339) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD51556) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-03-31 |