NPI | 1780996751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A142681) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 270720) |
Enumeration Date | 2010-07-07 |
Last Update Date | 2021-11-29 |