| NPI | 1275898694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.126740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202548) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2020-11-23 |