NPI | 1649776485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 92115) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 92115) |
207R00000X Internal Medicine (Licence: FL TRN26624) | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2024-09-20 |