NPI | 1124453626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS12965) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS12965) |
207R00000X Internal Medicine (Licence: FL UO3569) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: FL ML0512965) | |
Enumeration Date | 2013-09-04 |
Last Update Date | 2025-04-01 |