| NPI | 1710192828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P4420) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 242272) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-01-10 |