| NPI | 1023212602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0053021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0026274) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL DO1252) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-10-22 |