NPI | 1881694362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00045945) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 18549) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2012-05-24 |