NPI | 1265816052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME162119) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2021-0332) |
Enumeration Date | 2015-07-12 |
Last Update Date | 2023-08-15 |