| NPI | 1588907117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60591300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60591300) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2021-01-04 |