NPI | 1659364974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 007543) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101010430) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2021-09-13 |