| NPI | 1376785733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 74311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003820) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-07-12 |