| NPI | 1396948824 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P6299) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P6299) | 
| Enumeration Date | 2007-06-11 | 
| Last Update Date | 2016-04-18 |