NPI | 1700346582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 71378) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11924159-1205) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2022-11-18 |