| NPI | 1407033996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.141220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 56110) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2026-08-11 |