| NPI | 1174984900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.027822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.027822) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-12-27 |