| NPI | 1740209147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101246544) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A 95548) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-10-27 |