| NPI | 1740568641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35.127999) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 265939) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2016-05-16 |