| NPI | 1619956638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35129435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002358-1) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-130588) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2021-03-15 |