NPI | 1629428537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 90348) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211607) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2023-08-16 |