| NPI | 1295001592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A13018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 012123) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2020-09-28 |