| NPI | 1912067497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D18958) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 21D0943529) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |