| NPI | 1477896363 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 68783) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.062988) | 
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 53747) | |
| Enumeration Date | 2013-03-29 | 
| Last Update Date | 2021-09-28 |