NPI | 1457514168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ R73917) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME110337) |
207R00000X Internal Medicine (Licence: CA A120571) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2021-12-03 |