| NPI | 1659733954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.015167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022436) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-08-15 |