| NPI | 1902898729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD26430) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101043770) |
| 207R00000X Internal Medicine (Licence: OR MD26430) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-09-23 |