| NPI | 1912389370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R7367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053242) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-11-20 |