| NPI | 1235125022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS17993) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH OH34007683) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2024-05-09 |