| NPI | 1760617484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 55723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 55723) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-10-05 |