| NPI | 1154512333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 31042) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TX N6804) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-04-13 |