| NPI | 1265638407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 41339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 41339) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301078487) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2013-06-12 |