| NPI | 1902012438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD424910) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 257155) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2017-03-24 |