| NPI | 1205098886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT192967) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 260944) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-07-31 |