| NPI | 1790868925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 66414) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME98007) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200200812) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-10-24 |