| NPI | 1164413050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35083660CTR) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35083660) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-03-08 |