| NPI | 1538107651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301060352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301060352) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-17 |