| NPI | 1164580171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35092313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002647) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-03-07 |