| NPI | 1629268503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 46889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432305) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-11-01 |