| NPI | 1487643854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9400570) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 00025122) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |