| NPI | 1578818985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 55557) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 106324) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-07-11 |