| NPI | 1427477058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T2419) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 284389) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-08-03 |