| NPI | 1184609778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD26954) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 48989-020) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2006-0056) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2008-09-03 |