| NPI | 1396165569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1020351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.131221) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-06-28 |