| NPI | 1982765418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101041250) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D35534) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD16918) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-12-12 |