| NPI | 1033115696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.057424) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD041331E) |
| 207R00000X Internal Medicine (Licence: WV 15463) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-05-07 |