| NPI | 1710939384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.078954) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 46649) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-11-05 |