NPI | 1043445588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R6216) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 22237) |
207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.207872) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2018-07-13 |