| NPI | 1942443619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME128835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098814) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 40015) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2020-03-19 |