| NPI | 1477866697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 56527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.017420) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 106710) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2020-10-27 |