| NPI | 1568781540 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 258929)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244023)  | 
| Enumeration Date | 2010-05-31 | 
| Last Update Date | 2017-02-06 |