| NPI | 1376040717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.140667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57246721) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-10-15 |