| NPI | 1093003394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME152048) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 51540) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-09-23 |