NPI | 1750362570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A103077) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 222554) |
207R00000X Internal Medicine (Licence: CA A103077) | |
Enumeration Date | 2005-11-09 |
Last Update Date | 2008-11-25 |