| NPI | 1235420621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 52149) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY TP072) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2019-06-14 |