NPI | 1386740405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C129986) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 25965) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2021-03-24 |