NPI | 1194255232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61433243) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10850) |
Enumeration Date | 2017-06-12 |
Last Update Date | 2023-09-01 |