| NPI | 1821658980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.144821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019021093) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2022-05-31 |