| NPI | 1043000136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 50.009685RX) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-08-27 |