| NPI | 1477727451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 254999) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD14439) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2020-04-21 |