| NPI | 1477513075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NM 91-333) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WY TL3127) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2015-09-08 |