| NPI | 1194797605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME108675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101238659) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-12-13 |