| NPI | 1710272620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 258215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256566) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD16302) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-12-16 |