| NPI | 1134214687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4801065981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301065981) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4801065981) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-03-21 |