| NPI | 1679778765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 265422) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD16117) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2008011777) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301113276) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-03-18 |