| NPI | 1104269430 |
|---|---|
| Former Name | TINA ROOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A132383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A132383) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-07-01 |