NPI | 1790047439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.136676) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061990) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2018-10-23 |