| NPI | 1760584890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD424618) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N0057) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2009-04-03 |