| NPI | 1376774752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 16182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241906) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D74564) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2020-09-21 |