NPI | 1760769699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 39915) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX p1381) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.143709) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101025775) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: TX P1381) | |
Enumeration Date | 2011-11-06 |
Last Update Date | 2023-01-06 |