| NPI | 1821085390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR CP204540) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX J3166) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00025512) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2021-12-01 |