| NPI | 1801054770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60096142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60096142) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2014-11-21 |