| NPI | 1780909879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 81241) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP60403755) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2022-11-14 |