| NPI | 1962601328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX P3025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53330) |
| 207R00000X Internal Medicine (Licence: TX P3025) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2017-02-16 |