| NPI | 1881694362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD00045945) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MS 18549) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2012-05-24 |