| NPI | 1114468378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 84724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.151029) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-11-25 |