| NPI | 1679784896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2018-02547) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301076740) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2018-10-04 |