| NPI | 1578825485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2018014408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012018758) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2018-07-30 |