| NPI | 1982789590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME116412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301052078) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301052078) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-12-30 |