| NPI | 1588866024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD440872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93983) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT#192383) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-12-05 |