| NPI | 1154684504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR DO192550) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO D.0070050) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-09-09 |