| NPI | 1790763936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 32777) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 45276) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-09-03 |