| NPI | 1851375612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 041499) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 041499) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-04-25 |