| NPI | 1841338035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 38712) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200301301) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-12-04 |