| NPI | 1295900108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME145077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 225763) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101251876) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2020-11-04 |