| NPI | 1356603914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 88554) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 90581) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R8498) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2024-09-24 |