| NPI | 1649373903 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.120543) | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A90627) | 
| Enumeration Date | 2006-09-05 | 
| Last Update Date | 2009-07-08 |