| NPI | 1346505534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101258207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57020616) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2023-12-06 |