| NPI | 1679101844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 58.031519) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY TP075) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-06-24 |