| NPI | 1831300128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 49953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57008398) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-12 |