| NPI | 1093109704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T7882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.013488) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2023-01-17 |