NPI | 1245461524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 2532222) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096169) |
207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08600800) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301096169) | |
Enumeration Date | 2009-08-04 |
Last Update Date | 2012-01-29 |