| NPI | 1891923256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 90364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241589) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2015-09-25 |