| NPI | 1225013006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2015-0409) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD0728731) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.142228) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2021-06-09 |