| NPI | 1467636902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 54334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010020379) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 105656) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2020-08-11 |