NPI | 1255710398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB11117100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016558) |
207R00000X Internal Medicine (Licence: NJ 25MB11117100) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: PA OT016558) | |
Enumeration Date | 2015-05-21 |
Last Update Date | 2024-04-30 |