| NPI | 1720599905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2024010349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245095) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-05-02 |