| NPI | 1043484405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD174206) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A130284) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2015-09-15 |