| NPI | 1851684765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP60726268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX bp10041324) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-03-02 |