| NPI | 1356099592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: CA A197979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.255243) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-10-13 |