| NPI | 1457672438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 45608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65011-20) |
| 207R00000X Internal Medicine (Licence: IA R-8976) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-09-02 |