NPI | 1083097869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 86509) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL TRN21545) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2021-06-14 |