| NPI | 1295727030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023006699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35069185S) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2023-04-19 |