NPI | 1669901757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 287249) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 25721) |
208000000X Pediatrics (Licence: RI LP04032) | |
207R00000X Internal Medicine (Licence: MA 287249) | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2025-07-25 |