| NPI | 1952522161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101247608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083844) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX n0971) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-08-09 |