| NPI | 1568484608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MN 63238) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 55601) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: OR MD162699) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-06-17 |