| NPI | 1245856756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.148269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020017611) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-06-21 |