| NPI | 1306280631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35129133) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-05-25 |