| NPI | 1174181911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.147946) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.147946) |
| 207R00000X Internal Medicine (Licence: SC LL82599) | |
| 208000000X Pediatrics (Licence: SC LL82599) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-05-24 |