NPI | 1265711444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2014-01965) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098469) |
207R00000X Internal Medicine (Licence: OH 35.138926) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.138926) | |
Enumeration Date | 2011-08-05 |
Last Update Date | 2021-07-29 |