| NPI | 1154769321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102208367) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 1209) |
| 208D00000X General Practice (Licence: KS 05-37631) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-03-15 |