| NPI | 1508020017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX W1039) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01073455A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY C4224) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.127346) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2025-12-12 |