| NPI | 1043470628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2026-02682) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T0799) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2026-07-07 |