| NPI | 1093927055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 50031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35091664) |
| 207R00000X Internal Medicine (Licence: OH 57.011934) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-09-18 |