| NPI | 1720578172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U9272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U9272) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2025-01-20 |