NPI | 1356630727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35138964) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014006158) |
207RG0100X Internal Medicine, Gastroenterology (Licence: CA A160527) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2020-12-17 |