| NPI | 1265711444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2014-01965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.138926) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.138926) | |
| 207R00000X Internal Medicine (Licence: MI 4301098469) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2024-11-30 |