| NPI | 1780854109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 063074) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: GA 63074) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2015-02-05 |