| NPI | 1659667210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2013-02101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 173003) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2018-05-02 |