| NPI | 1255537882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS015053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL J240513806340) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2014-08-06 |