| NPI | 1003297383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.013946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL37693) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-11-07 |