| NPI | 1528295235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME137331) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A136938) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2018-09-14 |