NPI | 1124439740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD479034) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2020-02567) |
Enumeration Date | 2014-05-16 |
Last Update Date | 2022-09-27 |