NPI | 1154549830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00047901) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A88013) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2021-05-04 |