| NPI | 1467714980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME136594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-251777) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2018-11-07 |