| NPI | 1164857462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D96040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022732) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2023-01-30 |