| NPI | 1164710075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD22382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200613) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 50399) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2022-09-08 |