| NPI | 1679767842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 66772841205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 66772841205) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-06-09 |