| NPI | 1821310004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.012732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271550) |
| 183500000X Pharmacist (Licence: NY 048857) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2021-09-08 |