| NPI | 1356978399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.150329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.249227) |
| 208000000X Pediatrics (Licence: OH 35.150329) | |
| 208000000X Pediatrics (Licence: OH 57.249227) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-05-13 |