NPI | 1003540394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2023017628) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 32359) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2024-03-05 |