| NPI | 1053752105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 88536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134246) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2022-09-26 |