| NPI | 1386728475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME99438) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 7942) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-11-21 |