| NPI | 1104809623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301097682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224125) |
| 207R00000X Internal Medicine (Licence: MI 4301097682) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2010-12-08 |