| NPI | 1982763314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00028850) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA md28850) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-03-07 |