| NPI | 1912946484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M3769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX temporary) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-11-14 |