| NPI | 1134869530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.252784) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-10-02 |