| NPI | 1124111273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS21844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34006728) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-06-30 |