| NPI | 1063900520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A173974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A173974) |
| 207R00000X Internal Medicine (Licence: OH APP-000143836) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-03-27 |