NPI | 1659997708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0116038049) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220130) |
Enumeration Date | 2020-06-24 |
Last Update Date | 2024-06-09 |