NPI | 1740263656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD043194L) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA09810200) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2017-02-09 |