| NPI | 1164652673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 72998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35093468) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2021-12-21 |