| NPI | 1871634816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME105246) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME105246) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2015-11-04 |