| NPI | 1891714168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME107853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16397) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-03-01 |