| NPI | 1215145628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-093555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012059) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-12-21 |