| NPI | 1659364974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 007543) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 5101010430) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-09-13 |