| NPI | 1629032503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NV 10617) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 10617) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2022-12-08 |