| NPI | 1205883832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX P0746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105793) |
| 207R00000X Internal Medicine (Licence: TX P0746) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME105793) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-12-13 |