NPI | 1639439748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 38452) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 262589) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2024-05-20 |