NPI | 1326243254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 244043) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244043) |
207RG0100X Internal Medicine, Gastroenterology (Licence: FL TRN18024) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: CA A119524) | |
Enumeration Date | 2007-06-20 |
Last Update Date | 2013-07-25 |