| NPI | 1316432529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 83901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 54931) |
| 207R00000X Internal Medicine (Licence: OH 35.141089) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-11-05 |