| NPI | 1245766591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.147010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD467844) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2025-03-26 |