NPI | 1285070136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 20354) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116028920) |
207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101267093) | |
Enumeration Date | 2013-05-20 |
Last Update Date | 2022-10-21 |