| NPI | 1225059009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX Q2965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E4635) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: AR E4635) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: AR E4635) | |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: OH 35086753) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-06-01 |