| NPI | 1508158262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 51935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH UA723904) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2018-05-02 |