NPI | 1053804906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102207569) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102207569) |
208D00000X General Practice (Licence: VA 0102207569) | |
Enumeration Date | 2018-06-14 |
Last Update Date | 2024-07-18 |