| NPI | 1003852955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 33627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35077269) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: KY 33627) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-03-07 |