| NPI | 1902822281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R4710) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 29135) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101258366) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 074062) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-08-01 |