| NPI | 1528352945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 49102) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 62352) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-07-21 |