| NPI | 1639138175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 47622) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 239203-1) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2014-03-12 |