NPI | 1275748691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA md60316515) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR md29111) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2021-05-18 |