NPI | 1457471799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08993800) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301088662) |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 094863) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2012-06-21 |