| NPI | 1629058961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T1765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217219) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 217191) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2021-09-22 |