NPI | 1124261656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD485690) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01106) |
207RG0100X Internal Medicine, Gastroenterology (Licence: GA 76129) | |
Enumeration Date | 2009-04-14 |
Last Update Date | 2024-06-26 |