| NPI | 1518264746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.145922) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60287526) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-120653) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C151207) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2022-11-28 |