| NPI | 1073560223 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D61475) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D61475) | 
| Enumeration Date | 2006-05-30 | 
| Last Update Date | 2012-06-18 |