| NPI | 1982193587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 33035) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 84080) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2026-08-05 |