| NPI | 1043742299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 94707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.141620) |
| 207P00000X Emergency Medicine (Licence: OH 35.141620) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-09-11 |