| NPI | 1710166095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D86625) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD200001388) |
| 207R00000X Internal Medicine (Licence: CA A 107262) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2021-07-07 |