| NPI | 1003430075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.148625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046249) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2023-06-17 |