NPI | 1235454091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61242402) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0057071) |
207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD196637) | |
Enumeration Date | 2010-04-05 |
Last Update Date | 2023-05-24 |