| NPI | 1679788376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 15987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 15987) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-12-13 |