| NPI | 1265551295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 43742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35089282) |
| 207R00000X Internal Medicine (Licence: TN 43742) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-03-16 |