| NPI | 1821068057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 32780) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 202390) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2009-03-02 |