| NPI | 1205191871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.141212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 66234) |
| 207R00000X Internal Medicine (Licence: MI 4301100221) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2023-05-26 |