NPI | 1417166422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME106694) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38488) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IA R-7743) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: IA 38488) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2024-01-31 |