NPI | 1982996708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U8152) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A156541) |
Enumeration Date | 2011-05-12 |
Last Update Date | 2024-06-07 |