| NPI | 1164426961 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C151394) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 31301) | 
| Enumeration Date | 2005-06-09 | 
| Last Update Date | 2019-11-11 |