| NPI | 1477738110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: RI MD14289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD14289) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-10-09 |