NPI | 1548767551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 65948) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29224) |
207R00000X Internal Medicine (Licence: MN 65948) | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2021-06-23 |