| NPI | 1083761969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD39522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D67549) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D67549) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-04-11 |