| NPI | 1629201173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 59223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 59223) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2016-10-14 |