NPI | 1477896363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 68783) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.062988) |
207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 53747) | |
Enumeration Date | 2013-03-29 |
Last Update Date | 2021-09-28 |