| NPI | 1194073213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C163206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.099905) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2022-08-04 |