| NPI | 1629250527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI 13609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 13609) |
| 207R00000X Internal Medicine (Licence: MA 224746) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2012-02-14 |