NPI | 1437539640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD474258) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101281309) |
207R00000X Internal Medicine (Licence: PA MT208935) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2024-03-18 |