| NPI | 1952356875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD09057) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 034199) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-09-01 |