| NPI | 1003305939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: OH 35.150942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH APP-000144069) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-12-02 |