| NPI | 1346667219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301117261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35138544) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-01-24 |