| NPI | 1235303652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02006117A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34010490) |
| 207R00000X Internal Medicine (Licence: OH 34010490) | |
| 208000000X Pediatrics (Licence: RI DO00844) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2025-09-29 |