| NPI | 1114904364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 77585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 77585) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2016-01-12 |