| NPI | 1780661843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 78977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220257) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 220257) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-08-27 |