NPI | 1548422397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME149718) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191770) |
207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 69008) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: MN 71552) | |
Enumeration Date | 2008-07-01 |
Last Update Date | 2023-05-08 |