| NPI | 1568428951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301081356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081356) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 205229) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-07-08 |