NPI | 1144480914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 301273-01) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049684) |
207R00000X Internal Medicine (Licence: NY 301273-01) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD450172) | |
Enumeration Date | 2008-06-14 |
Last Update Date | 2020-02-28 |