| NPI | 1346807229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D96606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35147498) |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2024-02-05 |