| NPI | 1750516035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q7052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00773) |
| 207R00000X Internal Medicine (Licence: PR 18392) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2021-04-22 |