| NPI | 1275823700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2018-0857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 126644) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2025-01-16 |