| NPI | 1649438318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101018021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO1449) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-02-22 |