| NPI | 1841446655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP60366994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 134871) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2013-06-28 |