| NPI | 1750362570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A103077) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 222554) |
| 207R00000X Internal Medicine (Licence: CA A103077) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-11-25 |