| NPI | 1083677199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101238585) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 29738) |
| 208D00000X General Practice (Licence: VA 0101238585) | |
| 207R00000X Internal Medicine (Licence: FL ME113363) | |
| 207R00000X Internal Medicine (Licence: OK 29738) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-07-16 |