| NPI | 1760769699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: SC 39915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1381) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.143709) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MI 5101025775) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TX P1381) | |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2023-01-06 |