NPI | 1457697211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A180073) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0088137) |
207R00000X Internal Medicine (Licence: NY bw2881921367) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0088137) | |
Enumeration Date | 2012-12-26 |
Last Update Date | 2022-12-15 |