NPI | 1639138175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 47622) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 239203-1) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2014-03-12 |