| NPI | 1013043850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 049594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-224528) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 247343-1) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-01-17 |