| NPI | 1447570494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 55249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243876) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: RI LP02764) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2016-05-24 |