| NPI | 1912996679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00037911) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX K6770) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 52877) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2021-04-26 |