| NPI | 1639195746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U1248) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA FC1954189) |
| 207R00000X Internal Medicine (Licence: VA 0101238939) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A111454) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-08-26 |