| NPI | 1699155234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.015294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021873) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-12-26 |