| NPI | 1215318589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 69528) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 281714) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 75138) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-12-02 |