| NPI | 1619264033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 15430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014022142) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101278759) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX V1477) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2026-07-15 |