NPI | 1154584241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61139267) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 47539) |
207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD188736) | |
Enumeration Date | 2008-07-08 |
Last Update Date | 2021-04-21 |