NPI | 1124318217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT202114) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262377) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2016-07-19 |