| NPI | 1366612152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 11961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011616) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2023-11-27 |