| NPI | 1083359889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02008622A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.016811) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-10-17 |