| NPI | 1619359858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA L-263342) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 281867) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-04-05 |