| NPI | 1285629238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301507790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35061601) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2024-09-10 |