| NPI | 1790874048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD60280545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 91710) |
| 207R00000X Internal Medicine (Licence: MO 110389) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: GA 63885) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-11-09 |