| NPI | 1275890303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61228986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.125895) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-12-08 |