| NPI | 1972715290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CT 040455) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: SC 31958) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MA 219127) | |
| 207R00000X Internal Medicine (Licence: MA 219127) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-09-18 |