NPI | 1740771401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0072841) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115409) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2024-07-23 |