NPI | 1598793374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME101004) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 234163) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2016-02-24 |