| NPI | 1073618450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35082985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD476568) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-02-16 |