| NPI | 1023751427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 80547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.156368) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2026-06-30 |