| NPI | 1093827420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-086695) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101056623) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 31980) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-12-12 |