| NPI | 1912197005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0057447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233581) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 233581) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2023-08-23 |