| NPI | 1992714414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX N7771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008793) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-11-17 |