NPI | 1497047369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 71577) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036122535) |
207R00000X Internal Medicine (Licence: KS 94-07691) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 57.02408) | |
Enumeration Date | 2011-05-10 |
Last Update Date | 2019-08-02 |