| NPI | 1659479103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L8179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L8179) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-01-15 |