| NPI | 1053409318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T7947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38972) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 38972) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-10-24 |