| NPI | 1619251196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 62756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118559) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2022-01-12 |