NPI | 1902890809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME72022) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 205635-1) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2020-09-23 |