| NPI | 1861650384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D79685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250012) |
| 207R00000X Internal Medicine (Licence: PA MT202818) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2015-07-24 |