| NPI | 1306928924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME102056) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: FL TRN 9049) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-01-14 |