| NPI | 1396949665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C165267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35080208) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2022-11-02 |