NPI | 1013043850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CT 049594) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-224528) |
207RG0100X Internal Medicine Gastroenterology (Licence: NY 247343-1) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2012-01-17 |