| NPI | 1285702704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-05-7266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G183800) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-09-12 |