| NPI | 1295972206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS10545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 0S10545) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C2-0011056) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2022-04-04 |