| NPI | 1164837233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.139581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 079028) |
| 207R00000X Internal Medicine (Licence: FL 20691) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-07-29 |