| NPI | 1356603153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 261727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-251776) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2021-05-17 |