| NPI | 1194104968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102205350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 39020000X) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-07-15 |