| NPI | 1750572749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.013570) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036132291) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 36D0336065) | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2024-01-10 |