| NPI | 1225140007 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101028355)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34007109)  | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2025-01-02 |