| NPI | 1063733657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 18314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55266) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 55266) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-08-14 |