| NPI | 1073034195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 305911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.029299) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-06-06 |