| NPI | 1790878791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S8053) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 47584) |
| 207R00000X Internal Medicine (Licence: TX S8053) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A73176) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-10-10 |