| NPI | 1982647483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA 0S006287L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS006287L) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-06-30 |