| NPI | 1275532251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.078005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234954) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2024-11-07 |