| NPI | 1508205204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 72087) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 36929) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-07-19 |