| NPI | 1679531941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD154546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47797) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-08-17 |