| NPI | 1174532733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101032260) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 68502) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.142067) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-05-05 |