NPI | 1043439631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND PT 12963) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946505) |
207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-33766) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: SD 10084) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2016-11-14 |