| NPI | 1467569533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS10919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L6974) |
| 207R00000X Internal Medicine (Licence: FL OS10919) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-09-17 |