| NPI | 1346535440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 260933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247792) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-07-31 |