NPI | 1659804649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 1015590) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64061) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2023-05-25 |