NPI | 1730576018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD223543) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0066179) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2025-09-03 |