| NPI | 1003078668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD451072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192667) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-04-15 |