| NPI | 1508830647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35090015) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 45058) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2018-02-01 |