NPI | 1659536480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 48787) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70554) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2017-01-05 |