| NPI | 1528041472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 0526237) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R7J11) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2014-09-16 |