| NPI | 1023461621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027722) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2019-05-24 |