| NPI | 1124441449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.124450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502956) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2023-11-03 |