| NPI | 1720172190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 96-208) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 96208) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-03-01 |