| NPI | 1548765084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX T5321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 288347) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-07-15 |