| NPI | 1366720666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.135085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098996) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2026-01-05 |