| NPI | 1952362980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P1484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME94091) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD203357) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-05-29 |