| NPI | 1265768725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 03432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010271) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2021-01-05 |