NPI | 1659799906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 291699) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 303868) |
207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101272196) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: NY 303868) | |
Enumeration Date | 2014-04-03 |
Last Update Date | 2023-04-25 |