| NPI | 1043669260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.136561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068048) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-07-09 |