| NPI | 1982867560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60587870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092248) |
| 207R00000X Internal Medicine (Licence: WA MD60587870) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-11-10 |