| NPI | 1558513168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME141486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME141486) |
| 207R00000X Internal Medicine (Licence: IL 036121876) | |
| 207R00000X Internal Medicine (Licence: IA 39329) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD456022) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2021-05-05 |