| NPI | 1538455704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 57617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS2011-0290) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD181332) | |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2024-06-20 |