| NPI | 1073723458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME129182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23419) |
| 207R00000X Internal Medicine (Licence: FL ME129182) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2012023617) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-09-24 |