| NPI | 1992099196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD462990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199326) |
| 207R00000X Internal Medicine (Licence: PA MD462990) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2017-12-05 |